This information requested below will help the Sallisaw Police Department address the problem of drugs in your neighborhood. Please complete as much of the information as possible. This information will be forwarded to the Sallisaw Police Department's Investigation Division. All information will be held in STRICT CONFIDENCE.

 

Thank you for helping us help you!

 

Offender Information

Offender's Name:

Possible Nickname:

Offender's Address:

Age:

Sex:*

Male Female

Race:*

White Black White-Hispanic Black-Hispanic Indian/Alaskan Asian/Pacific Islander Other

Height:

Weight:

Automobile Information

Year:

Make:

Color:

License:

Drug Trafficing Information

Location Where Drugs Are Being Sold:*

Select One Building Street Other

If other, please specify:

Address Where Drugs Are Being Sold:

Weapons:*

Select One Handgun Rifle/Shotgun Other

If other, please specify:

Are There Any Dogs or Other Pets:*

Select One Yes No Other

If other, please describe:

Are There Any Lookouts:*

Select One Yes No

What days of the Week is traffic heaviest:

What hours of the day is traffic heaviest:

Type of Drugs Sold:*

Select One Marijuana Cocaine/Crack Meth Other

If other, please specify:

Where do the sellers hide their drugs:

Additional Information or Comments